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Individual

DR. ERIC JOHAN HEMBERG

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
101 24TH ST, OPELIKA, AL 36801-6253
(334) 610-2222
(334) 610-2226
Mailing address
101 24TH ST, OPELIKA, AL 36801-6253
(334) 610-2222
(334) 610-2226

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
00008688
AL
207Q00000X
Family Medicine Physician
Primary
8688
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000014417
AL
05
009941242
AL
01
051014417
BLUE CROSS BLUE SHIELD
AL
Enumeration date
07/10/2006
Last updated
07/16/2013
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